What are the responsibilities and job description for the Population Health Specialist position at Candidate Experience site?
The Population Health Specialist (PHS) will work under the direct supervision of the Population Health Manager and is responsible for understanding the clinical programs while supporting multidisciplinary teams using their skill set and knowledge in the methods and tool of Process/Quality improvement and project management. Identifying practice opportunities and integrating clinical programs and resources into the practice workflow. Promoting practice transformation by acting as a consultant on improvement methods and data-driven decisions to reduce variation, process gaps and risks. This position is responsible for working collaboratively with the practices and organization on Population Health Management, Value- Based Plan Service Lines, Clinical Quality Committee, and subgroups that fall under the auspices of Population Health initiatives.
Major Responsibilities:
Travels throughout designated territories to build relationships with physician practices to support physician engagement, clinical practice transformation and strive for achievement by conducting the key functions below:
· Provides organizational leadership and oversight of population health tools, workflow design, and outcome metrics, along with financial and quality performance while working closely in a collaborative effort with quality team staff.
· Educates on care management, utilization management, risk adjustment, annual wellness visits and quality initiatives and assists with program engagement where able.
· Leads the transition of innovative ideas from pilot to implementation and shares best practices across all markets.
· Provides educational and training sessions.
· Disseminates and supports Gap List Closures.
· Tests and refines workflows that support sustainable transformation, and guides practices as they expand interventions to additional patient populations.
· Creates and maintains relationships with high value specialists, urgent care centers, and other community stakeholders.
Minimum Job Requirements:
Education: High School Diploma or equivalent required.
Knowledge / Skills / Abilities:
Technical Proficiency: Visual Cactus, Excel, Microsoft Word, and any system that AH deploys in regard to credentialing, clinical integration or with value-based contracts (including payer portals, i.e. Humana Carebook). AH staff and management systems, including ADP, Trakstar and others as deemed necessary.
Highly organized and self-motivated individual with ability to adapt to various workspaces and work autonomously.
Collaborative working style with the ability to work across different teams, areas of expertise, and adapt to ambiguous environments and clientele.
Hypothesis-driven to identify trends, predict issues, highlight critical areas, and develop corrective action plans.
Preferred Job Requirements
Certification/License/Registration: CMA or LPN preferred. Experience working in a PCP setting.
